Cobb County Employee Access Form

Please provide the following information when requesting a new employee user account for access to the County network, a transfer from one department to another, or an existing employee needing access to Onbase.

New Employee

Transfer

First Name

Middle Initial

Last Name

Suffix

Employee ID Number

Department Name

Position Title

Employee transferring from which department?

Replacing former employee (enter name)

Computer Name or Serial Number

Did replaced employee leave Cobb County?

Yes

No

Give the general phone number if employee will not have an assigned line.

Phone Number (xxx xxx xxxx)

Name on phone display?

Does the employee need voicemail?

Yes

No

Does the employee need long distance?

Yes

No

Access to which business applications?

The name of an existing employee who the new employee should be setup like:

If employee needs access to a Canon copier, give the name of the copier:

Indicate printing and/or scanning

Printing

Scanning

If requesting access to Contexte or OnBase, use the appropriate link(s) below and complete additional required forms. (hint: click the links before submitting this form)

Once the new account is created, the requestor will be sent an e-mail containing the new employee’s network login name and a temporary password. The new employee will be required to change the password the first time they login.